Jackson, Don-Andre

Jackson, Don-Andre is an individual health care provider with primary practice located at 130 Division St , Derby CT 06418-1326. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Jackson, Don-Andre can be contacted via phone (203) 732-1330.

Contact Information

Primary practice address
130 Division St Derby CT 06418-1326
Phone: (203) 732-1330
Fax: (203) 732-1332
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 67231 Connecticut

Profile Details

NPI number 1508250952
LBN Legal business name Jackson, Don-Andre
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2015
Last updated Mar 16th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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